      <h2>Create Courier </h2>   
           <form id="create_courier" action="" method="POST">
            <table>
                <tr>
                    <td><label for="user_email">Email <span>*</span></label></td>
                    <td><input id="user_email" name="user_email" type="text" value="" /></td>
                </tr>
                <tr>
                    <td><label for="user_password">Password <span>*</span></label></td>
                    <td><input id="user_password" name="user_password" type="password" value="" /></td>
                </tr>
                <tr>
                    <td><label for="user_name">Organization Name <span>*</span></label></td>
                    <td><input id="user_name" name="user_name" type="text" value="" /></td>
                </tr>
                <tr>
                    <td><label for="user_address">Address </label></td>
                    <td><textarea class="normal text-area" id="user_address" name="user_address"></textarea></td>
                </tr>
                <tr>
                    <td><label for="user_city">City </label></td>
                    <td><input id="user_city" name="user_city" type="text" value="" /></td>
                </tr>
                <tr>
                    <td><label for="user_state">State </label></td>
                    <td><input id="user_state" name="user_state" type="text" value="" /></td>
                </tr>
                <tr>
                    <td><label for="user_zip">Zip </label></td>
                    <td><input id="user_zip" name="user_zip" type="text" value="" /></td>
                </tr>
                <tr>
                    <td><label for="user_phone">Phone </label></td>
                    <td><input id="user_phone" name="user_phone" type="text" value="" /></td>
                </tr>
                 <tr>
                    <td><label for="user_fax">Fax</label></td>
                    <td><input id="user_fax" name="user_fax" type="text" value="" /></td>
                </tr>
                 <tr>
                    <td><label for="user_website">Website </label></td>
                    <td><input id="user_website" name="user_website" type="text" value="" /></td>
                </tr>
                 <tr>
                    <td><label for="user_contact_name">Primary Contact Name </label></td>
                    <td><input id="user_contact_name" name="user_contact_name" type="text" value="" /></td>
                </tr>
                 <tr>
                    <td><label for="user_contact_title">Primary Contact Title </label></td>
                    <td><input id="user_contact_title" name="user_contact_title" type="text" value="" /></td>
                </tr>
                 <tr>
                    <td><label for="user_contact_phone">Primary Contact Phone </label></td>
                    <td><input id="user_contact_phone" name="user_contact_phone" type="text" value="" /></td>
                </tr>
                 <tr>
                    <td><label for="user_contact_email">Primary Contact Email </label></td>
                    <td><input id="user_contact_email" name="user_contact_email" type="text" value="" /></td>
                </tr>
                <tr>
                     <td><button   title="Add Courier Company" type="submit"><span>Add Courier Company</span></button></td>
                    <td> <button  onclick="window.location.replace('http://localhost/shiporder/shiporder_main/index/home')" title="Cancel" type="button"><span>Cancel</span></button></td>
                </tr>
            </table>
        </form>   